NPI | 1104227784 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL C STEWART Owner/Therapist 239-963-4367 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11840) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11994) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2024-03-22 |