| NPI | 1992289649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE LEAVEY KMETZ Licensed Professional Counselor 833-937-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |