| NPI | 1366844664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY M. LEE Licensed Mental Health Counselor 321-436-7789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 18201127865) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |