| NPI | 1750649836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATALIA FOGEL Therapist/Owner 813-400-0419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8896) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |