NPI | 1669905022 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH JENKINS, LMFT Owner 512-568-0343 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201515) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 21363) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-04-04 |