| NPI | 1194568477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI Y SPOSATO Owner 321-222-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-09-11 |