NPI | 1821709965 |
---|---|
Former Name | KRISTIN LINAMARIA HANULA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14248) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009982) |
Enumeration Date | 2022-12-09 |
Last Update Date | 2022-12-15 |