NPI | 1215393251 |
---|---|
Professional Name | KRISTEN VAN DYKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1800587) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E1800587) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2022-08-24 |