| NPI | 1689094369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY E WEST President 662-231-6195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS T0127) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |