| NPI | 1912437575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET PETERSON Owner, Psychotherapist 855-937-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 006864) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |