| NPI | 1487090080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI SELWYN SMITH Owner 407-760-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5960) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |