| NPI | 1326704636 |
|---|---|
| Former Name | KRYSTAL MARIE NYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C10358) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHP-C-001581) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2026-05-26 |