| NPI | 1902055221 |
|---|---|
| Other Name | KRISTAN MICHELLE LENNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60888822) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 50033) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2019-06-30 |