| NPI | 1831485259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN SKOVMAND-WILSON Owner/Counselor 352-323-8872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 6627) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-01-0570) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-07-02 |