| NPI | 1033480389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY MILLER BYROM Owner 512-695-8979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63448) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201245) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-20 |