NPI | 1508070343 |
---|---|
Former Name | KRISTIE L WEBSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001626) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-05-10 |
Last Update Date | 2014-05-22 |