| NPI | 1134374747 |
|---|---|
| Former Name | CRISTAL ROSE GERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011150) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC60063009) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2022-09-08 |