| NPI | 1285925578 |
|---|---|
| Former Name | CORTINA DERAL CRIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11172) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH7942) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2012-03-12 |