| NPI | 1265447148 |
|---|---|
| Other Name | KRISTINE MARIE KUMPF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000182) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2007-07-08 |