NPI | 1376778563 |
---|---|
Former Name | CARMEN ALICIA GAYTAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 61491) |
Additional Taxonomies | 101YS0200X Counselor, School |
Enumeration Date | 2009-05-18 |
Last Update Date | 2009-05-18 |