| NPI | 1164872826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH ESGUERRA Lmft 813-895-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL MT2932) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2021-07-19 |