NPI | 1144591017 |
---|---|
Entity Type | Organization |
Authorized Contact | MELANIE CROSS Office Manager 281-579-0703 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66352) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201561) |
Enumeration Date | 2012-01-24 |
Last Update Date | 2012-01-24 |