| NPI | 1194095950 |
|---|---|
| Former Name | KRISTA G SWENOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008857) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2009017307) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2016-02-17 |