NPI | 1023227907 |
---|---|
Former Name | KRISTY MAE LESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2670) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2007-05-21 |
Last Update Date | 2019-10-11 |