Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | TH732038 |
NPI | 1205306719 |
---|---|
Provider Name | Dr. Grace Carolina Horner |
First Address | Houston, TX 77079-2922 |
Second Address | Houston, TX 77079-2922 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2018 |
Last Update Date | 29/06/2019 |