NPI | 1497062491 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA MOENSSENS Owner 321-230-0740 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2360) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9675) |
Enumeration Date | 2010-09-12 |
Last Update Date | 2024-06-18 |