| 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 |