| NPI | 1316424799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA RUTH KUCHMAN Therapist/Owner 407-312-6014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW8986) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH12841) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |