| NPI | 1710379680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA LARA Owner/Practicioner 956-340-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63732) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2016-11-02 |