| NPI | 1124709084 |
|---|---|
| Former Name | CRYSTAL LEE HORNINGER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC015963) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC015963) |
| 101YP2500X Counselor, Professional (Licence: PA PC015963) | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2025-01-28 |