| NPI | 1962710590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA EARL Professional Counselor 877-754-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX TX19312) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |