| NPI | 1881140739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON RAOLI Psychotherapist 786-250-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH10890) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |