NPI | 1528723632 |
---|---|
Former Name | CHRISTINA MARIE RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77479) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 77479) |
Enumeration Date | 2021-11-03 |
Last Update Date | 2024-02-03 |