| NPI | 1295085405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KATHERINE PIKE Owner 832-282-4592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2013-04-04 |