NPI | 1841969888 |
---|---|
Former Name | KRYSTAL J HRRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
172V00000X Community Health Worker | |
Enumeration Date | 2021-09-13 |
Last Update Date | 2023-07-05 |