| NPI | 1962054734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA SHANKLE Owner 512-620-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2021-02-23 |