| NPI | 1750768206 |
|---|---|
| Former Name | CRYSTAL LIZ CORONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT119578) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 2905) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2020-07-17 |