| NPI | 1841842978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED DOMINGUEZ Licensed Mental Health Counselor 813-650-6497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-30 |