| NPI | 1205712544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE A RAMOS Licensed Mental Health Counselor 813-400-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |