NPI | 1598597601 |
---|---|
Doing Business As | ILLUMINATING POSSIBILITY LLC |
Entity Type | Organization |
Authorized Contact | JACQUELINE COPPOCK Psy.D. 210-201-4187 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2024-08-16 |
Last Update Date | 2024-08-16 |