| NPI | 1932952835 |
|---|---|
| Doing Business As | LIFEBLOOM THERAPY |
| Entity Type | Organization |
| Authorized Contact | KEISHA LIBBRECHT CEO 209-505-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |