NPI | 1194547638 |
---|---|
Former Name | LANI ANNETTE STEWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89725) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 89725) |
Enumeration Date | 2024-10-28 |
Last Update Date | 2024-10-31 |