| NPI | 1508102294 |
|---|---|
| Former Name | KRISTEN KEHAULANI MARCIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003650) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 8682) |
| 103T00000X Psychologist (Licence: FL PY8682) | |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2013-05-13 |