NPI | 1891346631 |
---|---|
Former Name | KRISTI LYNNE KOERNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AK 149921) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-09-24 |
Last Update Date | 2020-11-03 |