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 |