| NPI | 1073900437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN GASTORF Licensed Professional Counselor 972-841-9509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68165) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-10-18 |