| NPI | 1043662968 |
|---|---|
| Former Name | CHRISTIE LYNN KINLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP0305) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60845527) |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2019-07-30 |