| NPI | 1699390393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE ANNE GORLEN Licensed Professional Counselor 197-445-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2022-01-12 |