| NPI | 1538922521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE BURQUE Mental Health Counselor/Owner 407-801-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |