NPI | 1861907206 |
---|---|
Former Name | KRISTIN L. BISHOP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NE 1545) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4445) |
Enumeration Date | 2017-12-07 |
Last Update Date | 2022-08-03 |