NPI | 1417378274 |
---|---|
Former Name | SANDRA CASTRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 81064) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL TMPC1835) |
101Y00000X Counselor (Licence: CO LPC0014805) | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2013-12-21 |
Last Update Date | 2024-09-25 |