| NPI | 1619854106 |
|---|---|
| Former Legal Business Name | GENTLE BLOOM THERAPY |
| Entity Type | Organization |
| Authorized Contact | SHA'KIRA HICKS Rbt 864-635-5476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |