| NPI | 1770210163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAS FARROKHSERESHT Licensed Professional Counselor 469-465-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-04 |