NPI | 1922382357 |
---|---|
Former Name | KRISTEN ELIZABETH LAVINDER AND KEMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013913) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013913) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2024-06-28 |