NPI | 1780956094 |
---|---|
Former Name | KIRSTEN J TOWNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 7847) |
Additional Taxonomies | 104100000X Social Worker (Licence: IA 007847) |
Enumeration Date | 2012-02-01 |
Last Update Date | 2023-01-10 |