NPI | 1689232092 |
---|---|
Former Name | JESSICA NORTON NAERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 78157) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 78157) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 78157) | |
101YP2500X Counselor, Professional (Licence: TX 78157) | |
Enumeration Date | 2019-05-31 |
Last Update Date | 2024-12-31 |