| NPI | 1326371147 |
|---|---|
| Former Name | KRISTY LYNNE BORDSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN 00011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 00011) |
| 101YP2500X Counselor, Professional (Licence: MN cc00011) | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2018-03-17 |