| NPI | 1093865065 |
|---|---|
| Other Name | BEVERLY ANN NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 06143) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX S06143) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 5737) | |
| 104100000X Social Worker (Licence: TX S06143) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2015-09-09 |