| NPI | 1154934529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIKA LYNNETTE MOODY Licensed Marriage And Family Therap 267-467-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |