| NPI | 1073381976 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANITA MARIE JOHNSTON Licensed Professional Counselor 210-602-1975 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Enumeration Date | 2023-12-20 | 
| Last Update Date | 2023-12-20 |