| NPI | 1720496334 |
|---|---|
| Former Name | KRISTY LYNNE WOODS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P93644) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00215100) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |