NPI | 1184994519 |
---|---|
Former Name | KIRSTEN A JAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: VA LPC) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 8178) |
Enumeration Date | 2012-01-02 |
Last Update Date | 2025-01-17 |