NPI | 1881927986 |
---|---|
Other Name | KRYSTAL GAYLE WILCOX-SCHULTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA ps019393) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC50042) |
101YP2500X Counselor, Professional (Licence: PA PC50042) | |
101YP2500X Counselor, Professional (Licence: PA PC005142) | |
Enumeration Date | 2009-09-08 |
Last Update Date | 2024-07-24 |