NPI | 1275385247 |
---|---|
Former Name | KRISTINA PACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61513655) |
Enumeration Date | 2024-04-03 |
Last Update Date | 2024-04-03 |