| NPI | 1427094119 |
|---|---|
| Former Name | KRISTEN BATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9398) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-03-17 |