| NPI | 1336445436 |
|---|---|
| Former Name | RANDI MICHELLE DRAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 52553) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 52553) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2015-08-17 |