| NPI | 1194138891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ORTEGA Owner 786-592-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2451) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |