| NPI | 1760817928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA A FREELAND Licensed Professional Counselor 817-501-2854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: KS 2343) |
| Additional Taxonomies | 251S00000X (Licence: KS 2432) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |