NPI | 1700103694 |
---|---|
Former Name | KRISTEN BALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1302291) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1100299) |
Enumeration Date | 2010-05-01 |
Last Update Date | 2024-09-24 |