| NPI | 1245773696 |
|---|---|
| Former Name | CRYSTAL WHITACRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124435) |
| Additional Taxonomies | 174V00000X Clinical Ethicist |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2021-03-02 |