| NPI | 1235357146 |
|---|---|
| Former Name | KRISTINA JOYCE COBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: KY 102103) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 1279) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2018-04-26 |