| NPI | 1881099190 |
|---|---|
| Former Name | KRISTIN N ADDIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15920-131) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2022-10-03 |