| NPI | 1871059675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY OTA Owner, Therapist 512-815-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2019-03-18 |