| NPI | 1740739226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANIE MONIQUE TRUDEAU Owner/Psychotherapist 321-425-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13469) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |