NPI | 1629544036 |
---|---|
Former Name | KENDA FAYE MULKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74559) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74549) |
101Y00000X Counselor (Licence: TX 74559) | |
101YS0200X Counselor, School | |
Enumeration Date | 2018-10-23 |
Last Update Date | 2023-10-24 |