NPI | 1437129194 |
---|---|
Former Name | KRISTIN L KREIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC510) |
Additional Taxonomies | 103T00000X Psychologist (Licence: SD QMHP) |
106H00000X Marriage & Family Therapist (Licence: SD LMFT1163) | |
Enumeration Date | 2006-01-25 |
Last Update Date | 2007-07-08 |