| NPI | 1922641471 |
|---|---|
| Former Name | KRISTINE WEBSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2987) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 2121) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2023-08-03 |