RITA LACE MOON

AUSTIN, TX
NPI1063896488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: TX  56568)
Enumeration Date2015-07-15
Last Update Date2021-02-24
Business Address
RITA LACE MOON
13740 RESEARCH BLVD STE B2
AUSTIN, TX 78750-1859
Phone number: 512-565-4433
Mailing Address
RITA LACE MOON
13740 RESEARCH BLVD STE B2
AUSTIN, TX 78750-1859
Phone number: 512-565-4433