| NPI | 1851129365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESS L LIEBERSOHN Licensed Professional Counselor 267-225-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2025-02-01 |