NPI | 1366159923 |
---|---|
Former Name | NIKIS BARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85192) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 99785) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 57500) | |
Enumeration Date | 2022-11-03 |
Last Update Date | 2022-11-03 |