| NPI | 1861603847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MOSER Owner Therapist 239-540-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL #SW8379) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |