| NPI | 1356420939 |
|---|---|
| Former Name | KRISTEN HOLDERLE DAVIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 016808) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 16808) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-07-05 |