| NPI | 1699900142 |
|---|---|
| Former Name | KRISTEN ANNE BYRD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR L5294) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2015-12-29 |