| NPI | 1831643584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURIANNA SWANSON Sole Proprietor 305-741-3670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10867) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |