| NPI | 1427534270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CHRISTINE JOHNSON Owner 512-910-2982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58993) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |