NPI | 1053669903 |
---|---|
Former Name | KRISTI HALFOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.009792) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180009792) |
Enumeration Date | 2012-08-27 |
Last Update Date | 2024-04-16 |