| NPI | 1699079913 |
|---|---|
| Other Name | BETSY FREDRICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 36895) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 36895) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2014-06-09 |