| NPI | 1619357399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE SMITH Owner/Counselor 251-510-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL 317) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |