NPI | 1760930218 |
---|---|
Former Name | EMMA KATHERINE KRIVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149021513) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000967) |
Enumeration Date | 2016-09-13 |
Last Update Date | 2025-07-14 |