| NPI | 1457500944 |
|---|---|
| Former Name | CRYSTAL KAY KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 62957) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2014-03-13 |