NPI | 1174219521 |
---|---|
Former Name | ALICIA MCDOWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 86156) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 86156) |
Enumeration Date | 2023-04-17 |
Last Update Date | 2023-04-17 |