NPI | 1447503990 |
---|---|
Former Name | KRISTI BONFILS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV IC-1166) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2012-10-22 |
Last Update Date | 2019-08-16 |