| NPI | 1942045489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA DEVEREAUX Licensed Professional Counselor 940-600-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |