| NPI | 1013377480 |
|---|---|
| Former Name | CRYSTAL LYNN JAMISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |