| NPI | 1336669555 |
|---|---|
| Former Name | KRYSTAL GREENAWALT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 269399) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2021-03-29 |