| NPI | 1457626616 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SUSAN ELIZABETH SHEPPARD President 407-415-0206 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 3806) | 
| Enumeration Date | 2012-03-20 | 
| Last Update Date | 2024-01-23 |