| NPI | 1831736198 |
|---|---|
| Former Name | KRYSTAL MICHELLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78756) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2023-11-10 |