| NPI | 1306238753 |
|---|---|
| Doing Business As | KIMBERLY TANUVASA |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TANUVASA Administrator 469-298-9008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 64907) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |