| NPI | 1033005509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORINA DANIELA HERRERA Member/Owner 352-562-0741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-22 |