NPI | 1629300017 |
---|---|
Other Name | LARRY COLCLASURE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73013) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2010-02-10 |
Last Update Date | 2014-11-07 |