| NPI | 1174353098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHEEDRA AVEONNE JOHNSON Mental Health Therapist 469-290-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |