| NPI | 1669242129 |
|---|---|
| Former Name | CRYSTAL EHRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-24-3590) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-R-3759) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2025-01-17 |