NPI | 1740932771 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN PETERSON Owner 210-935-2609 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2022-01-20 |
Last Update Date | 2022-01-20 |