| NPI | 1326602582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN GOULD Owner 216-401-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2022-06-27 |