| NPI | 1134967979 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JETTIE NORFLEET Owner 281-720-7267 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2024-07-16 | 
| Last Update Date | 2024-07-24 |