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 |