| NPI | 1083166441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA L MEDLYN Psychotherapist 512-585-9442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70948) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |