| NPI | 1841699196 |
|---|---|
| Former Name | KRISTIE MIDENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 6182) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 18711) |
| 1041C0700X Social Worker, Clinical (Licence: HI 4208) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2020-09-25 |