| NPI | 1366582025 |
|---|---|
| Former Name | DESIREE CRYTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95008957) |
| Additional Taxonomies | 101Y00000X Counselor |
| 163W00000X Registered Nurse (Licence: KS 14116330101) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 733034) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KS 143094) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 143100) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5375505101) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-03-02 |