NPI | 1982181236 |
---|---|
Former Name | KELLY L ENGELMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77029) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 13902) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2018-07-19 |