| NPI | 1366030934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIA JASMIN ROBINSON LUCERO Licensed Clinical Social Worker 239-788-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2025-04-08 |