NPI | 1669683983 |
---|---|
Former Name | KRISTEN SUZANNE RAHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW61514) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA LCSW61514) | |
Enumeration Date | 2007-05-25 |
Last Update Date | 2022-04-18 |