| NPI | 1124840038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE ROTH Co Owner 941-877-0284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |