NPI | 1982002465 |
---|---|
Former Name | KRISTIN LINDSEY COONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4841) |
Additional Taxonomies | 104100000X Social Worker (Licence: LA 12861) |
104100000X Social Worker (Licence: OK 4915) | |
104100000X Social Worker (Licence: KS 9776) | |
Enumeration Date | 2014-12-15 |
Last Update Date | 2024-11-05 |