NPI | 1952940389 |
---|---|
Other Name | OLIVIA ELIZABETH VAN NESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80001) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 80001) |
Enumeration Date | 2020-01-02 |
Last Update Date | 2020-07-16 |