| NPI | 1447068911 |
|---|---|
| Former Legal Business Name | LIVING MY LIFE LLC |
| Entity Type | Organization |
| Authorized Contact | KATRINA DAVIS-HICKS Owner 262-288-5994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |