| NPI | 1437787603 |
|---|---|
| Doing Business As | ILLUMINATE PSYCHOTHERAPY, INC. |
| Entity Type | Organization |
| Authorized Contact | ISCEL-CATTLEYA SOLIS President/CEO 565-481-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |