Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 79948 | TX |
NPI | 1003491101 |
---|---|
Provider Name | Rie Kojima Angeli |
First Address | Houston, TX 77041-6634 |
Second Address | Houston, TX 77007-2521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2021 |
Last Update Date | 10/03/2021 |