| NPI | 1669799300 |
|---|---|
| Former Name | KRISTINE RUTH POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 2225) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1000) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2015-12-02 |