| NPI | 1417506569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA MARE GRAVES Licensed Professional Counselor 512-221-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |