| NPI | 1013469303 |
|---|---|
| Former Legal Business Name | ABBA'S LOFT |
| Entity Type | Organization |
| Authorized Contact | IRYNA ARUTE Co President 877-506-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009406) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180010058) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2021-09-17 |