| NPI | 1386009942 |
|---|---|
| Doing Business As | LICENSED MENTAL HEALTH COUNSELOR |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LEIGH FEIN Therapist 813-758-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL MH13078) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |