| NPI | 1548998982 |
|---|---|
| Former Name | KRISTINA BROWN LUSK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 78965) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 78965) |
| 101YP2500X Counselor Professional (Licence: TX 78965) | |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |