NPI | 1831368877 |
---|---|
Former Name | KRISTEN ANN-LYNETTE PAULSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021047160) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS T-LMSW 7201) |
1041C0700X Social Worker, Clinical (Licence: MO 2016037001) | |
Enumeration Date | 2008-02-25 |
Last Update Date | 2022-04-04 |