| NPI | 1558628388 | 
|---|---|
| Former Name | KRYSTIN JENKS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010403) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2012-04-18 | 
| Last Update Date | 2018-12-17 |