NPI | 1619450863 |
---|---|
Former Name | KRYSTAL ANN ASHCROFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 171W00000X Contractor |
101YM0800X Counselor, Mental Health | |
1041C0700X Social Worker, Clinical | |
1041C0700X Social Worker, Clinical (Licence: TX 112161) | |
106H00000X Marriage & Family Therapist | |
1041C0700X Social Worker, Clinical (Licence: NV 10737-C) | |
Enumeration Date | 2018-09-13 |
Last Update Date | 2024-03-20 |