| NPI | 1811309925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANNE ANDERSON Owner 904-327-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH4062) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |