| NPI | 1396357810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA STISHER Licensed Professional Counselor 251-234-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |