| NPI | 1316287535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HANBY Owner 325-650-8552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2018-03-22 |