| NPI | 1417430240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DEVINE Owner/Therapist 386-867-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11095) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2020-09-11 |