| NPI | 1376219212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANIE ALYN SPRAKER Owner 765-416-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |