NPI | 1447810023 |
---|---|
Former Name | CRYSTAL FERRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3986) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT2461) |
Enumeration Date | 2019-06-17 |
Last Update Date | 2023-09-19 |