| NPI | 1629646484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN B HAWLEY Managing Member 512-694-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-28 |