| NPI | 1225220841 |
|---|---|
| Former Name | CRYSTAL D GOOGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MT 37025) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 44799) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2019-03-06 |