| NPI | 1124500301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY KATHLEEN GRAY Marriage And Family Therapist 352-225-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy (Licence: FL 3524) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |