| NPI | 1033432406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA S BOWYER President 941-752-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW4437) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2019) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |