NPI | 1760803241 |
---|---|
Former Name | KRISTEN NICOLE VESSELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2005014) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101Y00000X Counselor | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2013-12-30 |
Last Update Date | 2023-08-09 |