| NPI | 1396965042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER MALDONADO Office Manager 817-632-5516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2024-05-08 |