| NPI | 1902292709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN GOINS Director 866-913-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 58162) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-16 |