| NPI | 1124273123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIEJ PALUMBERI Psychotherapist 239-591-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2024-12-03 |