| NPI | 1700235603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE LOZANO Owner/Individual 432-634-6273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71305) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |