| NPI | 1952845240 |
|---|---|
| Other Name | ROBBIE FULLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72142) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 72142) |
| 101YM0800X Counselor, Mental Health (Licence: TX 72142) | |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2023-09-20 |