| NPI | 1750044244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE PENA Licensed Professional Counselor 469-315-6314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2021-10-21 |