| NPI | 1881573020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON MASK License Marriage & Family Therapist 731-819-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-09-01 |