NPI | 1669665378 |
---|---|
Former Name | SUNSHINE L CLARKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 18527) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 18527) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2007-08-26 |
Last Update Date | 2024-05-31 |