NPI | 1386153195 |
---|---|
Former Name | TAYLAR LYNN MCCOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 99580) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0018680) |
Enumeration Date | 2017-09-25 |
Last Update Date | 2025-09-01 |