| NPI | 1881422657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCHELE LOTT Owner 210-315-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |