| NPI | 1679003362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MICHELLE MCCABE Managing Member 512-688-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 5074) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 17640) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |