NPI | 1144705724 |
---|---|
Doing Business As | WINGS OF THE FUTURE CONSULTING PRIVATE PRACTICE |
Entity Type | Organization |
Authorized Contact | KRYSTAL M BOOTHE Executive Director 661-402-1545 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2018-09-28 |
Last Update Date | 2023-03-24 |