| NPI | 1396310017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZETH OSORIO License Mental Health Counelor 407-720-9867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |