NPI | 1144883414 |
---|---|
Former Name | TRENDOLYN DESHA RIGGINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76579) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 76579) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2019-04-22 |
Last Update Date | 2024-03-06 |