| NPI | 1891045886 |
|---|---|
| Former Name | CRYSTAL LYNN GILREATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OK LPCCANDIDATE11819) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2023-12-19 |