NPI | 1790336063 |
---|---|
Former Name | NANCY CONEJO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 14169) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A14169) |
Enumeration Date | 2019-09-26 |
Last Update Date | 2022-11-28 |