| 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 | 101YM0800X Counselor, Mental Health (Licence: MD LGP7348) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2026-02-19 |