NPI | 1003564048 |
---|---|
Doing Business As | MIND BODY- EFT THEARPY PLLC |
Entity Type | Organization |
Authorized Contact | GINA MARIE LATTY Social Worker 989-274-4006 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2022-03-17 |
Last Update Date | 2022-03-17 |