| NPI | 1497955496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA RANYD GREY Owner 352-377-4380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW4384) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA50355) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |