| NPI | 1053125898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS HENDRICKSON Marriage And Family Therapist 210-776-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |