NPI | 1841430576 |
---|---|
Former Name | LOLA VONCYL STARLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19279) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 19279) |
101YM0800X Counselor, Mental Health (Licence: TX 19279) | |
Enumeration Date | 2009-02-20 |
Last Update Date | 2022-04-06 |