NPI | 1083260707 |
---|---|
Former Name | ELIZABETH ROSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77173) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14359) |
106H00000X Marriage & Family Therapist (Licence: TX 203283) | |
Enumeration Date | 2019-08-18 |
Last Update Date | 2019-08-18 |