| NPI | 1942644547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL LEIGH MCRAE Member 713-515-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 12963) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |