NPI | 1902156102 |
---|---|
Former Name | KRISTIN KELLY BROSI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20082) |
Additional Taxonomies | 251B00000X Case Management |
Enumeration Date | 2012-09-14 |
Last Update Date | 2022-04-19 |