NPI | 1477633048 |
---|---|
Former Name | KRISTEN D SCELSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00772) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00171) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2014-11-14 |