| NPI | 1891071684 |
|---|---|
| Former Name | KRYSTAL LANE HOLMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2380) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 222997) |
| 101YM0800X Counselor, Mental Health (Licence: TX 90845) | |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2025-01-13 |