| NPI | 1033250956 |
|---|---|
| Former Name | KRISTA MONTANA KUBIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60066896) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2018-01-17 |