| NPI | 1013594001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIASKIN Owner/Director 615-412-1214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2023-03-23 |