NPI | 1033829445 |
---|---|
Other Name | LICI A. MERCADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011984) |
Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701011984) |
Enumeration Date | 2022-11-28 |
Last Update Date | 2023-12-06 |