| NPI | 1154055747 |
|---|---|
| Other Name | CRYSTAL LOUISE PERDUE-VILLALOBOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20972) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2019006727) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |