| NPI | 1306694583 |
|---|---|
| Other Name | KRISTIN PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 188238) |
| Enumeration Date | 2024-05-11 |
| Last Update Date | 2024-05-11 |