NPI | 1659710101 |
---|---|
Former Name | KRISTINA KAY FRIESEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60557172) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60385806) |
101YM0800X Counselor, Mental Health (Licence: WA CG60385806) | |
Enumeration Date | 2013-06-18 |
Last Update Date | 2015-09-16 |