| NPI | 1417846502 | 
|---|---|
| Former Name | KRISTEN BETH WOLFFIS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801079300) | 
| Additional Taxonomies | 1041S0200X Social Worker, School | 
| Enumeration Date | 2025-07-02 | 
| Last Update Date | 2025-07-02 |