NPI | 1649878505 |
---|---|
Other Name | LEONOR ISABEL LARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12622) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP7348) |
Enumeration Date | 2020-10-13 |
Last Update Date | 2024-09-19 |