| NPI | 1194211516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA AURORA RIVERA Owner/Psychotherapist 512-384-1407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 71270) |
| Additional Taxonomies | 251S00000X (Licence: TX 71270) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |