| NPI | 1487692133 |
|---|---|
| Former Name | KRISTEN GENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015475) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA SW010075L) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-10-05 |