| NPI | 1992147417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MARIE LEITNER Owner 954-437-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW0004454) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2022-07-21 |