| NPI | 1942847868 |
|---|---|
| Former Name | BETHANY DAWN RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 68319) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 68319) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-12-01 |