NPI | 1972089670 |
---|---|
Former Name | KRISTEN E ERNST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2017005001) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2018-07-16 |
Last Update Date | 2019-02-06 |