| NPI | 1003104613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MCGOWAN Counselor/Therapist 915-545-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62694) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 200978) |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2013-03-04 |