| NPI | 1770805392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA P SOUTHERN Owner/C Ounselor 817-573-6922 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 13881) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-03-24 |