| NPI | 1134774995 |
|---|---|
| Former Name | KRISTAN HOLDING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2020-01-16 |