| NPI | 1871411801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLISS BOUTIN Licensed Professional Counselor 916-799-5659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-07-07 |
| Last Update Date | 2026-07-07 |