NPI | 1295236016 |
---|---|
Entity Type | Organization |
Authorized Contact | LUANN CUSIC Psychotherapist/Owner 302-388-2979 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13999) |
Enumeration Date | 2018-02-27 |
Last Update Date | 2019-10-01 |