NPI | 1194367953 |
---|---|
Doing Business As | ILLUMINATE THERAPY |
Entity Type | Organization |
Authorized Contact | AMY THOMPSON Owner 517-974-9353 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2019-10-14 |
Last Update Date | 2019-10-14 |