| NPI | 1245376508 |
|---|---|
| Former Name | CRYSTAL ANN BOLADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 24950) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2022-03-28 |