| NPI | 1336710805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASSANDRA THOMPSON Licensed Professional Counselor 210-847-0654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-06 |