NPI | 1659844710 |
---|---|
Former Name | KRISTEN OLDIGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 273614) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH c.1801037) |
Enumeration Date | 2019-01-10 |
Last Update Date | 2023-11-09 |