| NPI | 1649674219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALISHA BLACKMORE Licensed Professional Counselor 409-344-2790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 15296) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |