| NPI | 1053735878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMERA A CRENSHAW License Professional Counselor 347-480-9927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 002361) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2024-10-08 |