| NPI | 1831859263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE KRISTIN LOZO Licensed Professional Counselor 512-808-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2022-05-16 |