NPI | 1225654429 |
---|---|
Former Name | AMY AGUINAGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 80875) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 80875) |
Enumeration Date | 2020-06-23 |
Last Update Date | 2021-03-18 |