| NPI | 1336472471 |
|---|---|
| Former Name | KRISTINA BLACK EMBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC01370) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2022-06-20 |