| NPI | 1619367620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DAWN LANSBERY Owner 512-689-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 64199) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2016-09-13 |