| NPI | 1568905768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA SUE CASERO Owner 512-843-1451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251S00000X (Licence: TX 63208) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2022-08-19 |