| NPI | 1083414254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHABANA MANDVIWALA CHURRUCA Owner/Psychotherapist 813-777-3872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-27 |