NPI | 1073878179 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICE FAITH WILSON Owner 281-741-2828 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 12238) |
Enumeration Date | 2012-07-05 |
Last Update Date | 2014-05-28 |