NPI | 1851816300 |
---|---|
Former Name | KRISTY FLETCHER SANTOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114855) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2017-08-06 |
Last Update Date | 2021-05-11 |