| NPI | 1477376598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI GUEVARA Licensed Mental Health Counselor 321-405-2805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |