| NPI | 1871103283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUISAN WALKER Owner 469-563-2941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2020-08-01 |