| NPI | 1962804385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE BLEVINS Owner 512-981-5638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201508) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63304) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |