| NPI | 1013771062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA LEON Owner/President 954-559-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-02-09 |