Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 68316 | TX |
NPI | 1003253493 |
---|---|
Provider Name | Ms. Veronica Martinez |
First Address | Pharr, TX 78577-8480 |
Second Address | Pharr, TX 78577-8480 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2013 |
Last Update Date | 09/08/2021 |