| NPI | 1295589414 |
|---|---|
| Former Name | KRYSTA NICOLE RIFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2507224) |
| Additional Taxonomies | 101Y00000X Counselor |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2025-12-15 |