| NPI | 1740716885 |
|---|---|
| Former Name | KRISTIN L MOFFETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9936) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist (Licence: FL PY9936) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-08-24 |