| NPI | 1780957043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH KIEFFER Lmhc 239-292-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7237) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |