| NPI | 1588902969 |
|---|---|
| Former Name | KRYSTAL T. COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36257) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 34572) |
| Enumeration Date | 2013-01-20 |
| Last Update Date | 2016-08-23 |