NPI | 1073630679 |
---|---|
Former Name | KRISTI LYNN SEWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60154927) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2023-04-26 |