NPI | 1841430907 |
---|---|
Former Name | KIRSTIE LYNN TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101441) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1345) |
Enumeration Date | 2009-03-03 |
Last Update Date | 2021-06-22 |