| NPI | 1053721274 |
|---|---|
| Former Name | KRISTINA MADIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC5151) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00471100) | |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-5489T) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2020-01-06 |