| NPI | 1780231209 |
|---|---|
| Former Name | KRYSTINA MARIE MCFADDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61469251) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 104100000X Social Worker (Licence: WA SC61084532) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2023-12-28 |