| NPI | 1750853685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO LEOS Licensed Professional Counselor 210-517-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |