Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | MFTI 72649 | CA |
N | 101YM0800X | Mental Health Counselor | MFTI 72649 | CA |
NPI | 1003245358 |
---|---|
Provider Name | Kristen Robinson-Woods |
First Address | Lancaster, CA 93534-3443 |
Second Address | Lancaster, CA 93534-3443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2013 |
Last Update Date | 08/06/2020 |