| NPI | 1003200627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DAWN SUTTER Counselor 210-762-4119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64919) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |