| NPI | 1891129755 |
|---|---|
| Former Name | CHRISTINE MARIE HULTGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 11386) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2020-01-28 |