| NPI | 1669765707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SILVA SEGURA Psychotherapist 512-636-5881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 64585) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201216) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |