| NPI | 1962106005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALISSA VASQUEZ Owner 512-577-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |