| NPI | 1750935391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO MORA Owner 254-791-5614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2025-03-06 |