NPI | 1447560842 |
---|---|
Former Name | LLOYSA COLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015335) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301014299) |
Enumeration Date | 2010-10-19 |
Last Update Date | 2019-08-16 |