NPI | 1609116334 |
---|---|
Former Name | ANNA AMELIA HEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66531) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA 7668) |
Enumeration Date | 2013-02-16 |
Last Update Date | 2023-03-29 |