| NPI | 1669801114 |
|---|---|
| Former Name | KRYSTLYNN ANNE CUMISKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09927834) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 20388) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2024-08-12 |