| NPI | 1639420433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDA DASH CEO 210-303-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |