| NPI | 1205317732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISHA MARIE MINOR-GAINES Marriage & Family Therapist 267-239-6447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2025-08-02 |