| NPI | 1972960698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON PAXTON Psychotherapist 772-321-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW10645) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |