NPI | 1124734058 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA LARSON Therapist & Owner 331-201-0676 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2023-01-24 |
Last Update Date | 2023-01-24 |