| NPI | 1639956618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER VICTORIA HART Licensed Professional Counselor 267-270-2407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |