| NPI | 1841722956 |
|---|---|
| Former Name | KRISTINA HOERNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60526567) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |