| NPI | 1619276557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LEE CHRISTENSEN Owner 813-935-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH10005) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |