| NPI | 1154755981 |
|---|---|
| Former Name | KRYSTALINA LOUISE BENTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT97022) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: CA 97022) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 74979) | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2024-02-14 |