NPI | 1114238342 |
---|---|
Former Name | KRISTINA M WOLFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 12151) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO 12151) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 12151) | |
101YM0800X Counselor, Mental Health (Licence: CO 12151) | |
Enumeration Date | 2010-06-22 |
Last Update Date | 2013-07-11 |