| NPI | 1215269758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALISA L CLEVENGER-SMITH Owner 512-963-7407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201468) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |