| NPI | 1336736685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH RODRIGUEZ Owner/Licensedprofessionalcounselor 904-307-8843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |