Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 76099 | TX |
NPI | 1003398827 |
---|---|
Provider Name | Paulina Alejandra Pina |
First Address | Round Rock, TX 78664-4051 |
Second Address | Cedar Park, TX 78641-2309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2018 |
Last Update Date | 29/08/2018 |