Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 66836 | TX |
NPI | 1003280504 |
---|---|
Provider Name | Mrs. Elizabeth K Wills |
First Address | Houston, TX 77062-8003 |
Second Address | Pasadena, TX 77505-3915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2015 |
Last Update Date | 07/01/2019 |