NPI | 1952696106 |
---|---|
Former Name | KIRSTEN MARIE SMOLSKIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1454) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-06-16 |
Last Update Date | 2023-03-10 |