NPI | 1104365972 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY-JO C NEUJAHR Member 254-501-3745 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 200952) |
Enumeration Date | 2017-02-14 |
Last Update Date | 2017-02-14 |