| NPI | 1083328926 |
|---|---|
| Former Name | TRAVIS CIEMPA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10002897) |
| Additional Taxonomies | 101200000X Drama Therapist (Licence: MA 897) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2025-05-17 |