NPI | 1770220451 |
---|---|
Former Name | TAYLOR ELIZABETH DIMERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 91703) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 10756) |
Enumeration Date | 2022-05-16 |
Last Update Date | 2025-04-23 |