| NPI | 1427563907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOSHANNA M. WILLNER Counselor 512-210-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72767) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2018-06-16 |