| NPI | 1275965667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE NATIVIDAD Owner 210-325-6874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19403) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2024-08-21 |