| NPI | 1205372554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JILL HANSON Sole Proprietor 214-458-0286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73297) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |