NPI | 1407366651 |
---|---|
Former Name | YOLANDA GAIL BREWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74865) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YS0200X Counselor, School | |
Enumeration Date | 2017-10-02 |
Last Update Date | 2017-10-02 |