| NPI | 1821589664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE M QUIJANO Sole Owner 281-795-6529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00001211) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |