NPI | 1942247275 |
---|---|
Former Name | KRISTY K DENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003572) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 8913) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2023-04-25 |