NPI | 1518972918 |
---|---|
Former Name | KRISTI LYNN SEVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3259) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY R0580571) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2008-09-21 |