| NPI | 1831468438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTY WATSON RAGLAND Counselor 512-659-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 19357) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 200924) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |