| NPI | 1205350501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE ROSS Co Owner 254-462-5488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2022-07-21 |