| NPI | 1790218337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLORY ROSE STOVER President 512-964-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73618) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |