| NPI | 1881875615 |
|---|---|
| Former Name | KRIS MARIE CISCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67295) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16769) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149009815) | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2019-03-26 |