| NPI | 1972833986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN H BURSON Counselor 214-926-2184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62813) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |