| NPI | 1194430132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENICIA L THOMAS Licensed Mental Health Counselor 813-344-7869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-13 |