| NPI | 1689264988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TUCKER Owner/ Therapist 281-987-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |