NPI | 1801688288 |
---|---|
Former Name | JUDY SERRANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86330) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 86330) |
Enumeration Date | 2025-05-21 |
Last Update Date | 2025-05-21 |