| NPI | 1457471849 |
|---|---|
| Other Name | KRISTEN CARBONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6112) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 8707) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |