NPI | 1780772855 |
---|---|
Former Name | KRISTEN YASUMI NAKANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 012200) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW29564) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2022-10-24 |