| NPI | 1154875730 |
|---|---|
| Former Name | CRYSTAL SHOHATEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109370) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: CA 93727) | |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2022-07-21 |