| NPI | 1083066013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE JEFFRIES Partner 817-239-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66609) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70275) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |