| NPI | 1740874155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RIVERA-CLONCH Owner 407-797-5708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |