| NPI | 1922317924 |
|---|---|
| Former Name | KRISTEN MARY FELLOWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8659) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2014-09-30 |