| NPI | 1710099031 |
|---|---|
| Former Name | CRYSTAL LENA CHERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62963) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 31345) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-05-04 |