| NPI | 1053922096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KINMAN Marriage And Family Therapist 682-552-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |