| NPI | 1598593816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MULCAHY Office Manager 407-377-4854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2025-02-03 |