| NPI | 1629629167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE GINGER Licensed Professional Counselor 817-991-0528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |