| NPI | 1437781093 |
|---|---|
| Former Name | KRYSTAL LYNN FINK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16051) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A060440921) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2023-01-09 |