NPI | 1235746025 |
---|---|
Other Name | AUDREY ALEXANDER JOLIVETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81969) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 81969) |
Enumeration Date | 2020-09-26 |
Last Update Date | 2025-02-16 |