| NPI | 1083030878 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LISA OLIVIA HOANG Licensed Mental Health Counselor 407-350-7956 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MHC 11684) | 
| Enumeration Date | 2014-03-17 | 
| Last Update Date | 2014-03-17 |