| NPI | 1932093218 |
|---|---|
| Other Name | PLLC |
| Entity Type | Organization |
| Authorized Contact | SHAVONE J REESE Licensed Mental Health Counselor 929-269-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-03 |