| NPI | 1891218285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA LOUISE BRAY Owner 512-636-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 54539) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2018-07-22 |