| NPI | 1225884224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY PRISKA Owner 832-741-7389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |