Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 69094 | TX |
NPI | 1003237843 |
---|---|
Provider Name | Mrs. Teresa La Barbera |
First Address | Houston, TX 77074-2007 |
Second Address | Houston, TX 77074-2007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2013 |
Last Update Date | 20/12/2013 |