| NPI | 1215056627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA LEA BALDERAZ Therapist 806-352-5542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 16469) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |