| NPI | 1558941682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA VAUPEL Manager 512-609-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-10-03 |