NPI | 1619422342 |
---|---|
Former Name | KRISTY HILD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7987) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-08-23 |
Last Update Date | 2024-02-29 |