| NPI | 1972391654 |
|---|---|
| Doing Business As | SACRED WILDNESS PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | KATYA VALLON Owner, Psychotherapist 401-315-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |