| NPI | 1104677210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIERA M AVERY Licensed Professional Counselor 937-266-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |