NPI | 1922641471 |
---|---|
Former Name | KRISTINE WEBSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2987) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2121) |
Enumeration Date | 2019-10-28 |
Last Update Date | 2023-08-03 |