| NPI | 1881182475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRIA PALMER Owner/Therapist 662-889-4264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 22113) |
| Enumeration Date | 2018-04-29 |
| Last Update Date | 2018-04-29 |