| NPI | 1821596248 |
|---|---|
| Former Name | KRISTINE YVONNE WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2023-06-28 |