| NPI | 1366813958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SHANNON Sole Member 979-571-8964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201724) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |