| NPI | 1558113902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANN WETMORE Licensed Mental Health Therapist 475-477-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |