Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003065624 |
---|---|
Provider Name | Ms. Kristin Denise Flores |
First Address | San Francisco, CA 94115-3450 |
Second Address | San Francisco, CA 94115-3450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2008 |
Last Update Date | 18/09/2008 |