| NPI | 1104568039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY GIBBS Lmft, Qualified Supervisor, Owner 352-900-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2024-01-08 |