| NPI | 1073265955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA I MEDINA TORRES Licensed Professional Counselor 512-803-0489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-01-22 |
| Last Update Date | 2022-01-22 |