NPI | 1548813157 |
---|---|
Former Name | LILIANA CAROLINA GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 77439) |
Additional Taxonomies | 101YS0200X Counselor, School |
Enumeration Date | 2019-07-23 |
Last Update Date | 2021-08-02 |