| NPI | 1639633233 |
|---|---|
| Doing Business As | MARY ROLDAN |
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH ROLDAN-BALBOA Owner 469-685-3572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2024-11-20 |