NPI | 1427213552 |
---|---|
Former Name | KRISSA LEE RIPPEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 795) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 119) |
Enumeration Date | 2008-07-29 |
Last Update Date | 2008-07-29 |