| NPI | 1316647464 |
|---|---|
| Other Name | BURIED MOON COUNSELING |
| Entity Type | Organization |
| Authorized Contact | SERENA LYNN HAMILTON Owner/Therapist 909-273-1294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |