| NPI | 1205384468 |
|---|---|
| Former Name | KRISANNA MARIE SHARON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.011194) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2024-10-03 |