| NPI | 1730711094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAYLA ELLEN WEITMAN Licensed Professional Counselor 267-630-5237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2026-04-15 |