| 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 | 1041S0200X Social Worker, School (Licence: CA PPS) |
| 101YM0800X Counselor, Mental Health (Licence: CA 80918) | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2018-06-11 |