| NPI | 1912894205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA GAYLE MANN Counselor Coach Therapist 564-224-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-30 |