| NPI | 1861879819 |
|---|---|
| Former Name | KRISTEN KRIVACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1500012) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E1500012) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2023-05-01 |