NPI | 1548704372 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY STIVERS Marriage & Family Therapist/Owner 309-713-1485 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2016-12-13 |
Last Update Date | 2021-11-02 |