| NPI | 1154008415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE MAXI JONSDOTTER Owner & Mental Health Therapist 334-224-3850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |