| NPI | 1467925446 |
|---|---|
| Former Name | CRYSTAL M FRIGAARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717002123) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT-750) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2024-07-30 |