Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 66215 | TX |
NPI | 1003191826 |
---|---|
Provider Name | Ms. Rita A Rodriguez Moreno |
First Address | Helotes, TX 78023-4385 |
Second Address | Helotes, TX 78023-4385 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2011 |
Last Update Date | 12/10/2011 |