| NPI | 1487361408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMALA BLACK Owner/ Therapist 424-209-8053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |