| NPI | 1962851691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI M MORE Licensed Professional Counselor 210-596-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 68459) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |