NPI | 1407108095 |
---|---|
Former Name | KRISTEN DANIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4390) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005444) |
1041C0700X Social Worker, Clinical (Licence: SC 11184) | |
1041C0700X Social Worker, Clinical (Licence: CT 008056) | |
Enumeration Date | 2012-10-08 |
Last Update Date | 2022-03-20 |