NPI | 1609427160 |
---|---|
Former Name | CRYSTAL SILVER FLORENCE LAWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137188) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 82628) |
Enumeration Date | 2019-09-26 |
Last Update Date | 2024-08-29 |