NPI | 1992138614 |
---|---|
Former Name | CRYSTAL NICOLE NAVARRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 6740) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2013-08-16 |
Last Update Date | 2022-11-08 |