| NPI | 1750104089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ENNEN Licensed Professional Counselor 888-270-1924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |