| NPI | 1598182636 |
|---|---|
| Former Name | KRYSTLE J MORENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107502) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2022-07-07 |