| NPI | 1417482860 |
|---|---|
| Former Name | CRYSTAL CAMERON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0201851) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0184801) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2026-07-19 |