| NPI | 1245886910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID EMERY Owner 325-603-1725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2019-08-17 |