| NPI | 1285867614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANNE MILLER Lpc 936-329-0457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 14430) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |