| NPI | 1447571898 |
|---|---|
| Former Name | KRISTIN LANDRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009814) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW004482) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2020-04-30 |