| NPI | 1700258878 |
|---|---|
| Former Name | KRYSTAL TROXELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 5804-125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 5804-125) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2025-06-13 |