| NPI | 1750839536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY BOWLES Psychotherapist 407-325-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5066) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |