| NPI | 1023815875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA KORTA Licensed Professional Counselor 907-203-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-04-15 |