| NPI | 1144886797 |
|---|---|
| Former Name | KRISTIE KRUSS, BLISS, YACKEYONNY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-05-18 |
| Last Update Date | 2021-02-15 |