| NPI | 1821101254 |
|---|---|
| Former Name | KRISTIN WHITING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16845) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006230) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50081948) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2024-05-16 |