| NPI | 1194366799 |
|---|---|
| Former Name | KRYSTLE MCGRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW18871) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2026-05-13 |