| NPI | 1740013267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ULLOA License Mental Health Counselor 954-702-3042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2026-03-06 |