| NPI | 1861936239 |
|---|---|
| Former Name | KRISTEN LYON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12784) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 12784) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2023-11-28 |