| NPI | 1811879588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE PETRA VICK Licensed Professional Counselor 512-762-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |