| NPI | 1720521388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA LYNETTE OCE Owner/Sole Proprietor 3059-655-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11531) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |