| NPI | 1932129517 |
|---|---|
| Former Name | CHRISTINE ASHLEY KISTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810005807) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810005807) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-11-02 |