| NPI | 1316001290 |
|---|---|
| Other Name | LAURA JO AVINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 18902) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX S18902) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2024-07-15 |