| NPI | 1487137915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSETTE GOMEZ Owner 786-918-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2023-06-13 |