| NPI | 1518419514 |
|---|---|
| Former Name | KRISTINA MARIA HIMMELBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2021-05-05 |