NPI | 1659767960 |
---|---|
Other Name | EQUILLA GILMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70847) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 70847) |
Enumeration Date | 2015-04-13 |
Last Update Date | 2021-10-07 |