| NPI | 1215819677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN D MOLDOVANYI Owner/CEO 904-664-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |