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 |