| NPI | 1649782707 |
|---|---|
| Former Name | KRISTINE V MAC DONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT101512) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF101512) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2018-09-17 |