NPI | 1851468052 |
---|---|
Former Name | KRISTIN MILLIMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 77878) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 73118) |
104100000X Social Worker (Licence: CA 29221) | |
Enumeration Date | 2006-11-30 |
Last Update Date | 2017-08-07 |