| NPI | 1275192627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONALISA BRYANT Licensed Professional Counselor 346-444-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |