| NPI | 1972117133 |
|---|---|
| Former Legal Business Name | WISE WINGS COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GENTRY Owner/Manager 805-428-4722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2022-04-21 |