| 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 |