| NPI | 1801036397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA HUMPHREYS Owner 407-322-8018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8982) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9137) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |