| NPI | 1033737846 | 
|---|---|
| Former Name | KRISTEN MADSON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: CA 230048317)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110359)  | 
| Enumeration Date | 2020-07-08 | 
| Last Update Date | 2025-10-13 |