| NPI | 1679035372 |
|---|---|
| Former Name | BRITNEY LEE DE LA FUENTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85077) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 226612) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2024-07-23 |