| NPI | 1285023317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ASENCIO Therapist/Owner 352-459-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12519) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2016-10-05 |