| NPI | 1063248391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUISA SOLER VEGA Owner 407-647-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |