| NPI | 1033556063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDIE J. SIEMANN Managing Member 352-284-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 11836) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2014-02-03 |