| NPI | 1902409493 |
|---|---|
| Former Name | CRYSTAL DIANNA HURTADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW118803) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 98041) |
| 104100000X Social Worker (Licence: CA 98041) | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2025-01-15 |