| NPI | 1760905764 |
|---|---|
| Former Name | KRISTA LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006288) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 10612) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60980309) | |
| 103TC0700X Psychologist, Clinical (Licence: CO MSPSY.0000004) | |
| 103TC0700X Psychologist, Clinical (Licence: HI 1742) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2023-11-30 |