| NPI | 1629366877 |
|---|---|
| Former Name | ELIZABETH JOAN KITTLESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 18358) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 008386) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2019-06-19 |