| NPI | 1326392952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN B FATTOROSI Owner 352-854-5946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 7871) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 2401) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2015-11-15 |