| NPI | 1033150198 |
|---|---|
| Former Name | KRISTA K ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301010505) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301010515) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2022-11-21 |