| NPI | 1992249361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY WHITELOCKE Psychotherapist 954-610-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MT2646) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |