| NPI | 1811588569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA SCHOCK Licensed Professional Counselor 817-854-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |