| NPI | 1972797629 |
|---|---|
| Former Name | KRISTI ANNETTE WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2015-06-13 |