| NPI | 1457129280 |
|---|---|
| Former Name | KRISTEN E MEDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: IN 12889245) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |