| NPI | 1710359690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEYDAWN SHEPPARD Owner 512-686-6012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69395) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2023-12-18 |