| NPI | 1881358455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITA HALL Lmft 239-329-9264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2025-09-15 |