NPI | 1164993382 |
---|---|
Former Name | EMILI DEANE WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78776) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 78776) |
101Y00000X Counselor (Licence: TX 78776) | |
106H00000X Marriage & Family Therapist (Licence: TX 78776) | |
Enumeration Date | 2018-12-16 |
Last Update Date | 2024-02-12 |