NPI | 1851773121 |
---|---|
Entity Type | Organization |
Authorized Contact | LYDIA KICKLITER Sole Member 727-643-5594 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12763) |
Enumeration Date | 2015-06-23 |
Last Update Date | 2017-10-12 |