| NPI | 1700202272 |
|---|---|
| Former Name | KRISTINA WATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 104177) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY KY0572) |
| Enumeration Date | 2014-03-08 |
| Last Update Date | 2019-07-15 |