NPI | 1548084932 |
---|---|
Former Name | VICTORIA GARZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO CSW.09930646) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCSW-LIC-72487) |
Enumeration Date | 2024-11-12 |
Last Update Date | 2024-11-12 |