| NPI | 1568894541 |
|---|---|
| Former Name | CRYSTAL CONSTANCE LOZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 60650636) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2024-12-26 |