NPI | 1871878223 |
---|---|
Former Name | NICOLE DAWN SPOTTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64199) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202917) |
Enumeration Date | 2011-10-18 |
Last Update Date | 2024-10-07 |