| NPI | 1063551166 |
|---|---|
| Former Name | KRISTINE SHARDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 3823) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-2390) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2009-06-01 |