| NPI | 1154353241 |
|---|---|
| Former Name | JEMECE MICHELLE RICHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 62542) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 1020) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 963) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 62542) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-04-27 |