NPI | 1518582774 |
---|---|
Entity Type | Organization |
Authorized Contact | CRISTAL L HAWTHORNE Licensed Professional Counselor 347-207-1110 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2020-06-13 |
Last Update Date | 2020-06-13 |