| NPI | 1477784775 |
|---|---|
| Former Name | CRYSTAL ESTRADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2022-10-20 |