| NPI | 1326319898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA R. GALVAN Governing Person 210-699-0345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 001346) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 8572) |
| 101YP2500X Counselor, Professional (Licence: TX 8572) | |
| Enumeration Date | 2012-01-15 |
| Last Update Date | 2012-01-15 |