| NPI | 1922419134 |
|---|---|
| Former Name | KRISTY MATYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-21164) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker (Licence: AZ LMSW-21164) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2024-11-09 |