NPI | 1750792917 |
---|---|
Former Name | KRISTIN VESCIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005133) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-05-09 |
Last Update Date | 2023-10-26 |