| NPI | 1194085506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SCHLOSSER Owner 682-556-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 17834) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5110) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2015-10-27 |