| NPI | 1174050678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LEE HURLEY Owner/President 407-325-0985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7702) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-14-3219) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2017-05-15 |