| NPI | 1497456040 |
|---|---|
| Former Name | KAREN LYNN CRISSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.19954) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002205) |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |