| NPI | 1477202927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE AISSA DAVID Owner 214-274-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |