| NPI | 1609231208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BALL Sole Member 210-485-9608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 65918) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 201563) |
| Enumeration Date | 2015-12-24 |
| Last Update Date | 2015-12-24 |