| NPI | 1265811509 |
|---|---|
| Former Name | CRYSTAL ANNETTE NEWTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT119392) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF85762) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2020-11-13 |