| NPI | 1063653319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA STAATS Professional Counse;Pr 940-397-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19875) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |