| NPI | 1659977577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA HARRIS Owner/Therapist 980-533-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |