| NPI | 1487092532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNETTE P. BALLARD Founder/Owner 512-704-8349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34216) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |