NPI | 1255824397 |
---|---|
Former Name | KRISTEN ELIZABETH-PAUL KALEO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LGM798) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LGP11375) |
224Z00000X Occupational Therapy Assistant (Licence: MD A02331) | |
225700000X Massage Therapist (Licence: MD M05538) | |
Enumeration Date | 2018-06-13 |
Last Update Date | 2023-11-21 |