Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | ||
N | 106S00000X | Behavior Technician |
NPI | 1063980878 |
---|---|
Provider Name | Mrs. Rashida Z Edmondson-Davis |
First Address | Houston, TX 77014-3604 |
Second Address | Addison, TX 75001-3613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2018 |
Last Update Date | 18/08/2021 |