NPI | 1336687474 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICIA M PFAHLER Licensed Mental Health Counselor 352-380-0209 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10145) |
Enumeration Date | 2017-02-09 |
Last Update Date | 2017-02-09 |