NPI | 1588126817 |
---|---|
Former Name | LEAH ELIZABETH STARR HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73814) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 73814) |
Enumeration Date | 2019-04-04 |
Last Update Date | 2019-05-14 |