NPI | 1437663226 |
---|---|
Former Name | KRISTEN FARRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401019313) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2017-12-01 |
Last Update Date | 2021-05-06 |