NPI | 1427423474 |
---|---|
Former Name | KRISTEN JEAN DRAUGHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.020320) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 149.020320) |
Enumeration Date | 2015-12-02 |
Last Update Date | 2019-04-12 |