| NPI | 1508334392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA NICOLE WYATT Licensed Professional Counselor 469-290-4241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |