| NPI | 1225408982 |
|---|---|
| Former Name | RAILENE IZZETT GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69759) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 69759) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2023-10-26 |