| NPI | 1720609647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVY E LIENG Sole Mbr/ Mental Health Therapist 407-307-9373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-15 |