| NPI | 1124372669 |
|---|---|
| Former Name | KRISTINA LOUISE BOONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 6050) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2022-07-21 |