| NPI | 1992079925 |
|---|---|
| Former Name | KRISTINE LYNN SCULL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923606) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 1057) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2019-09-27 |