| NPI | 1326893652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS HACKETT Licensed Professional Counselor 866-475-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |