| NPI | 1154964435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE DAWN EPP Owner 940-594-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2019-10-19 |