| NPI | 1104420934 |
|---|---|
| Former Name | KRISTINA ANNE BROOKSHIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301019560) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6352000394) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2025-03-26 |