NPI | 1215206008 |
---|---|
Former Name | CRYSTA CARYLL MORROW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003901A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34003901A) |
1041C0700X Social Worker, Clinical (Licence: CO CSW.09928450) | |
Enumeration Date | 2011-12-22 |
Last Update Date | 2024-07-16 |