| NPI | 1558768598 |
|---|---|
| Former Name | CRYSTAL ELIZABETH EDLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 4733) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2015-01-21 |