| NPI | 1497456552 |
|---|---|
| Former Name | KRYSTAL WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2024-11-05 |