| NPI | 1407618010 |
|---|---|
| Professional Name | IMPACT THERAPY, PLLC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1912) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2025-04-16 |