| NPI | 1972056422 |
|---|---|
| Former Name | KRISTAN MARIE INMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14417) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC RBT-15-03491) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-06-05 |