NPI | 1447990825 |
---|---|
Other Name | CRYSTAL LADONNA GRIDIRON-OLIVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA 100186) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 100186) |
104100000X Social Worker (Licence: CA 100186) | |
Enumeration Date | 2022-03-31 |
Last Update Date | 2024-09-12 |