| NPI | 1790207504 |
|---|---|
| Former Name | KRISTI LYNN TRIPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0124428) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0115546) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |