| NPI | 1407098072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SHANNON HART Owner 512-618-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15790) |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2009-03-29 |