| NPI | 1346400264 |
|---|---|
| Other Name | KIP G WAHLQUIST |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |