| NPI | 1942025465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BREUER President 025-274-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |