| NPI | 1881429959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MENKE Owner/Provider 210-446-8582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-13 |