| NPI | 1760194138 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | TAMALA BLACK Owner/ Therapist 424-209-8053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |