| NPI | 1437129194 |
|---|---|
| Former Name | KRISTIN L KREIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| 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 |