| NPI | 1184185241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA L LEESMAN Owner 210-606-6861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2023-12-29 |