NPI | 1821830258 |
---|---|
Former Name | KRISTEN HAUKENESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8542) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 8542-226) |
103K00000X Behavior Analyst | |
Enumeration Date | 2024-06-07 |
Last Update Date | 2025-09-10 |