| NPI | 1902815525 |
|---|---|
| Former Name | KIRSTEN M CHOUBARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-3387) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM LISW - I-3387) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-05-03 |