| NPI | 1689055949 |
|---|---|
| Former Name | KERRY CRAGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401016553) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178011043) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2018-04-24 |