| NPI | 1144990094 |
|---|---|
| Former Name | KRISTEN M EKISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11015-125) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-05-10 |