| NPI | 1790377067 |
|---|---|
| Professional Name | CRYSTAL MARIE BETTENHAUSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW100639) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4606) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-12-31 |