NPI | 1790492858 |
---|---|
Former Name | KRISTEN ELAINE STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: AZ LMSW-19645) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 6256) |
1041S0200X Social Worker, School (Licence: CT C033021002860) | |
Enumeration Date | 2022-10-28 |
Last Update Date | 2022-10-28 |