| NPI | 1487329686 |
|---|---|
| Former Name | KRISTEN THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701013661) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 4824) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2025-01-07 |