| NPI | 1477323152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY AUSTIN Owner 571-331-9704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |