NPI | 1992036453 |
---|---|
Former Name | DAPHNE RIDDLE HOPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63863) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 63863) |
101YM0800X Counselor, Mental Health (Licence: TX 63863) | |
Enumeration Date | 2010-01-22 |
Last Update Date | 2023-08-25 |