| NPI | 1003013053 |
|---|---|
| Other Name | KRISTIE ENGEL MADDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33629) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 33629) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 33629) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-11-02 |