| NPI | 1154855724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MARIA LOPEZ MEDRANO Licensed Mental Health Counselor 786-663-3983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 14918) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2018-10-15 |