NPI | 1871814996 |
---|---|
Former Name | KRYSTYN BETH BARNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 098037) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66111) |
Enumeration Date | 2010-06-14 |
Last Update Date | 2024-10-16 |