| NPI | 1740581917 |
|---|---|
| Former Name | BETHANY DAWN BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71356) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9228) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2023-08-02 |