| 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 |