| NPI | 1871219139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO ESQUEDA Lpc A 210-920-4365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-07-03 |