| NPI | 1407225642 |
|---|---|
| Former Name | CRYSTAL ANN LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2022-03-30 |