| NPI | 1174265383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA WRIGHT WAKACH Co Founder, Mindful Clinical Servic 747-228-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |