| NPI | 1528428505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MARCELLE GONZALEZ-MIRANDA Licensed Professional Counselor 713-614-4186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 65259) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |