| NPI | 1053779207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHI GABRIELLE KIMBALL Sole Member 512-653-4623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57473) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |