| NPI | 1104574656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MICHELLE YAEGER Mental Health Therapist/Owner 833-922-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-05-03 |