| NPI | 1619308772 |
|---|---|
| Former Name | KRISTEN YERDONEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9778) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008232) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |