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 |