NPI | 1841546595 |
---|---|
Former Name | NICOLE E GONZALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66884) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2012-07-31 |
Last Update Date | 2012-08-21 |