| NPI | 1801225131 |
|---|---|
| Former Name | CRYSTAL SANDOVAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2024-10-04 |