| NPI | 1003287145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE DORA MEYER-GOODWIN Owner 407-534-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11960) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2812) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2022-07-04 |