| NPI | 1922545763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CATHERINE PAULICK Psychotherapist 772-324-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH140752) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |