| NPI | 1588116107 |
|---|---|
| Former Name | KRYSTAL GAUDET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116188) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851100454) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2023-06-29 |