| NPI | 1013240480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BONELLI Owner/Psychotherapist 407-788-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL MT 1904) |
| Additional Taxonomies | 251S00000X (Licence: FL MH 6608) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |