| NPI | 1871808642 |
|---|---|
| Former Name | KRISTINE CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011946) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1621) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2022-12-22 |