NPI | 1639216948 |
---|---|
Former Name | RENEE FARLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 58266) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 58266) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2018-12-30 |