| 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 |