| NPI | 1649637034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA A WATTS-KUMAR Owner 210-503-9631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66100) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |