| NPI | 1205171279 |
|---|---|
| Former Name | KRYSTAL DANIELLE FARNHAM-MUCHOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60298923) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60317678) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2016-03-16 |