| NPI | 1518400936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA ROSA ONETTO Owner 954-851-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 12165) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-11-8728) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2016-12-05 |