| NPI | 1255689139 |
|---|---|
| Former Name | CRYSTAL MARIE NEALIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 10264) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46tr00439600) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2013-07-21 |