| NPI | 1245487149 |
|---|---|
| Former Name | CRYSTAL JEAN HOLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007363) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: TN LSW7948) | |
| 1041C0700X Social Worker, Clinical (Licence: NC P005548) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2024-08-12 |