| NPI | 1699662460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY JUHAYNA CORNISH Licensed Mental Health Counselor 813-308-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |