| NPI | 1275285074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MARIE WESTMAN Counselor 352-815-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-01-23 |
| Last Update Date | 2022-01-23 |