| NPI | 1831674829 |
|---|---|
| Former Name | JAMIE CRISOSTOMO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2021-11-23 |