NPI | 1497138325 |
---|---|
Former Name | LESBY DANIELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77863) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-07-09 |
Last Update Date | 2020-01-22 |