| NPI | 1811500762 |
|---|---|
| Former Name | KRISTA DAWN TRAHERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 21-QMHA-R-1295) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2021-08-04 |