| NPI | 1275805426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ANN PROCTOR Counselor 512-736-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65566) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |