| NPI | 1548698228 |
|---|---|
| Former Name | TERESA VALENCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0178731) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0154271) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2017-04-19 |