| NPI | 1023529427 |
|---|---|
| Former Name | KRISTINE CRAWFORD |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MI 4704302422) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704302422) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2024-04-23 |