NPI | 1477589208 |
---|---|
Former Name | JEAN KRABILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002284A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001251A) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2023-03-08 |