| NPI | 1205662251 |
|---|---|
| Former Name | CRYSTAL M. OLIVEROS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner | |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-11-06 |