Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 61023 | TX |
NPI | 1003087172 |
---|---|
Provider Name | Mrs. Lela Rochelle Williams-Bamberg |
First Address | Houston, TX 77042-3208 |
Second Address | Sugar Land, TX 77478-6184 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2008 |
Last Update Date | 21/05/2013 |