| 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 |