NPI | 1255875829 |
---|---|
Other Name | KJRISTYN BIRKHOLZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2014) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 01933) |
Enumeration Date | 2016-12-15 |
Last Update Date | 2020-02-27 |