NPI | 1619635901 |
---|---|
Former Name | KRISTEN M HUNTINGTON-WELCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11395-123) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 132457) |
Enumeration Date | 2021-12-03 |
Last Update Date | 2023-09-05 |