| NPI | 1013749050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN JEAN LEWINSKI Therapist 629-777-6007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-01-24 |