| NPI | 1063984060 |
|---|---|
| Former Name | KRISTEN MASTERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2023-08-16 |