NPI | 1043080294 |
---|---|
Other Name | VICKI LIN-RENDALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63957) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 63957) |
101YM0800X Counselor, Mental Health (Licence: TX 63957) | |
Enumeration Date | 2024-01-08 |
Last Update Date | 2024-01-08 |