| NPI | 1598040735 |
|---|---|
| Former Name | BLANCA GROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89451) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2022-12-01 |