| NPI | 1619111630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI LYN KEEFER Owner 407-489-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 101Y00000X Counselor (Licence: FL MH10896) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2013-12-02 |