NPI | 1174277206 |
---|---|
Doing Business As | SISU BLOOMS |
Entity Type | Organization |
Authorized Contact | GILES CHRISTOPHER SIEBURG Owner 315-925-6113 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2022-02-08 |
Last Update Date | 2023-11-22 |