NPI | 1386837532 |
---|---|
Former Name | KRISTIN MARIE PLACHETKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: TN P3001) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-08-21 |
Last Update Date | 2022-02-11 |