NPI | 1538473004 |
---|---|
Former Name | KRISTINA MARIE HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT 999) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MT 1354) |
Enumeration Date | 2010-07-27 |
Last Update Date | 2019-01-21 |