| 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 |