| NPI | 1801261979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA WILLIAMS Owner 210-870-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70308) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 71366) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2020-09-23 |