| NPI | 1861868929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL FISCHBERG Licensed Mental Health Counselor 941-468-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10788) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |