| NPI | 1538673140 |
|---|---|
| Former Name | KRISTINE JOHANSSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 8590-C) |
| 104100000X Social Worker (Licence: TX 64902) | |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2022-11-30 |