| 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 |