NPI | 1780137885 |
---|---|
Other Name | MAGGIE DICKENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70492) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12322) |
Enumeration Date | 2016-07-26 |
Last Update Date | 2019-08-27 |