NPI | 1932283835 |
---|---|
Former Name | CRYSTAL MONIQUE CUARON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 12475) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0168341) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2016-02-02 |