| NPI | 1639609001 |
|---|---|
| Former Name | CRYSTAL GINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 18639) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2025-03-07 |