| NPI | 1962799015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIELKA ESTHER JOHNSON Therapist 210-376-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 59981) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |