| NPI | 1801302955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA HAWARDEN LAMBETH Owner 972-677-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74529) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL 00120337) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2020-07-06 |