NPI | 1861058869 |
---|---|
Former Name | KRISTEN FIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013390) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013390) |
101YM0800X Counselor, Mental Health (Licence: MI 6401013390) | |
Enumeration Date | 2019-05-15 |
Last Update Date | 2024-02-08 |