NPI | 1336411586 |
---|---|
Other Name | KRISTIE NICOLE WASHINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 4793) |
Enumeration Date | 2012-02-03 |
Last Update Date | 2012-09-25 |