| NPI | 1780911537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VANDIVER Psychotherapist 254-541-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 9000) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 2725) |
| Enumeration Date | 2009-11-14 |
| Last Update Date | 2009-11-14 |