Client Intake Form

Veronica Y. White, Ph.D., LMHC, NCC

PSYCHOTHERAPIST, TRAINER, CONSULTANT

Licensed Mental Health Counselor- MH 6695
National Board Certified Counselor - 12993

1850 Lee Road, Suite 210
Winter Park, FL 32789
(407) 478-5125/Office
(407) 386-8900/Fax