NPI | 1235894916 |
---|---|
Former Name | SHERMELIA ROBERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16561) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 85283) |
Enumeration Date | 2021-11-08 |
Last Update Date | 2024-10-29 |