| NPI | 1093107450 |
|---|---|
| Former Name | KRISTA ELISE BUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014713) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2018-11-28 |