| NPI | 1609044866 |
|---|---|
| Former Name | KRISTEN M RACKL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 22077) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 277387) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2011-01-27 |