| NPI | 1124909163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA JENKINS Owner/Psychotherapist 267-225-2065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-13 |