| NPI | 1861757593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M BRADT Managing Member, Therapist 469-287-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15609) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |