| NPI | 1699967976 |
|---|---|
| Former Name | KRISTIN JOAN FLYNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2009031637) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071006055) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2010-02-03 |