NPI | 1194387837 |
---|---|
Former Name | LENNIE FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74117) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 74117) |
Enumeration Date | 2019-07-02 |
Last Update Date | 2024-12-09 |