NPI | 1184153389 |
---|---|
Former Name | FILIBERTO ARTURO MEDINA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85238.) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: FL LCC05-8975) |
101YM0800X Counselor, Mental Health (Licence: FL IMH-20192) | |
Enumeration Date | 2017-06-09 |
Last Update Date | 2022-08-28 |