NPI | 1841430956 |
---|---|
Former Name | KRISTY LEE KAST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020016) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00943132) |
104100000X Social Worker (Licence: OH I.0800205) | |
Enumeration Date | 2009-03-02 |
Last Update Date | 2022-02-07 |