| NPI | 1114340247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY N KIRK Counselor 972-916-9396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67191) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |