NPI | 1164019519 |
---|---|
Former Name | MERCEDES PATRICIA RIOS RIVAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80930) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 80930) |
Enumeration Date | 2020-12-30 |
Last Update Date | 2022-12-17 |