| NPI | 1952535312 |
|---|---|
| Former Name | KRISTIN EVELYN WEIMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008172) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180008172) |
| 101Y00000X Counselor (Licence: IL 178005884) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2019-03-01 |