| NPI | 1891685020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA RIVERA Licensed Mental Health Counselor 857-218-8828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-18 |