| NPI | 1144642968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHON MARICIA SUAREZ Licensed Marriage And Family Therap 210-540-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202026) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 20148) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |