NPI | 1952119521 |
---|---|
Entity Type | Organization |
Authorized Contact | BREIANE CAGE Owner/Therapist 469-609-7506 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-12-27 |
Last Update Date | 2024-12-27 |