| NPI | 1922894559 |
|---|---|
| Former Name | KRISTEN VICTORIA RUTH CARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 10355) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A20991) |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |