NPI | 1629554076 |
---|---|
Former Name | NORMA VIRGINIA LEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2018-07-18 |
Last Update Date | 2023-04-01 |