NPI | 1396278784 |
---|---|
Former Name | KRISTINA HANLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1794) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 1794) |
101YM0800X Counselor Mental Health | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2023-07-28 |