| NPI | 1972755734 |
|---|---|
| Former Name | KRISTIN K POAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60275222) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C2789) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2013-08-26 |