| NPI | 1427280346 |
|---|---|
| Former Name | KRISTEN JEANNE PETRELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW02184) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: RI CSW01259) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2016-11-14 |