| NPI | 1750649398 | 
|---|---|
| Former Name | KRISTEN LAVIERS OWEN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 49247) | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 49247) | 
| Enumeration Date | 2012-05-02 | 
| Last Update Date | 2022-07-21 |