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 |