| NPI | 1346066891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGANN LEE Owner 325-260-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2025-01-06 |