| NPI | 1619462926 |
|---|---|
| Former Name | KRISTIN LAURA VETTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW13625) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05327200) |
| 104100000X Social Worker (Licence: AL 2140G) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |