NPI | 1811775224 |
---|---|
Entity Type | Organization |
Authorized Contact | VANESSA RUSSELL Founder And Executive Director 628-400-9230 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2023-09-18 |
Last Update Date | 2023-09-18 |