| NPI | 1902216245 |
|---|---|
| Former Name | KARISSA MOLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 3493) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY KY-1737) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2019-02-13 |