NPI | 1841337938 |
---|---|
Former Name | CRYSTAL JOY BETZHOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 087006502RN) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OR 087006502re) |
171M00000X Case Manager/Care Coordinator | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2009-02-04 |