| NPI | 1699201020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH IBARRA-BRLETIC Owner/Operator 407-949-2659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT1678) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: FL MH15019) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |