NPI | 1477978351 |
---|---|
Former Name | BRENDA MONTIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69127) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH24902) |
Enumeration Date | 2014-02-28 |
Last Update Date | 2025-02-13 |