NPI | 1356886816 |
---|---|
Former Name | TADONYA HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78006) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13450) |
Enumeration Date | 2016-12-19 |
Last Update Date | 2021-10-04 |