| NPI | 1396141032 |
|---|---|
| Former Name | KRYSTIE GERIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007810A) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2018-02-26 |