NPI | 1033576244 |
---|---|
Former Name | MYISHA MYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: LA 6912) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 88456) |
101Y00000X Counselor | |
Enumeration Date | 2016-01-19 |
Last Update Date | 2023-03-21 |