NPI | 1437585296 |
---|---|
Former Name | KRISTINA E DAMOTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80918) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 80918) |
1041S0200X Social Worker, School (Licence: CA PPS) | |
Enumeration Date | 2013-09-24 |
Last Update Date | 2025-04-15 |