| NPI | 1023572872 |
|---|---|
| Former Name | CRYSTAL PARNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003456A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2020030122) |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2021-03-04 |