| NPI | 1659986297 |
|---|---|
| Former Legal Business Name | THERESA RODRIGUEZ |
| Entity Type | Organization |
| Authorized Contact | THERESA DOLORES RODRIGUEZ Therapist/ Owner 352-359-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |