| NPI | 1386135192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA BORTENSTEIN Owner 512-265-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59315) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2021-12-08 |