NPI | 1972084333 |
---|---|
Former Name | DANA PATRICE SUMMERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80106) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14264) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2018-08-23 |
Last Update Date | 2021-05-09 |