NPI | 1750559217 |
---|---|
Other Name | IBML. LLC. |
Entity Type | Organization |
Authorized Contact | MIREILLE ETIENNE Partner/Therapist 866-298-3447 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004290) |
Enumeration Date | 2008-02-18 |
Last Update Date | 2014-02-14 |