| NPI | 1417648908 |
|---|---|
| Doing Business As | IMPRESSION PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | HEATHER NITZKI Provider 331-625-3796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |