| NPI | 1407109358 |
|---|---|
| Former Name | KRISTAN LOVELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2003025) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1710302) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2022-10-21 |