| NPI | 1992246698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH BLUM Managing Director 305-900-7146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL 2471) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 1369) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |