| NPI | 1134596968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANN ELIZABETH GRIMM Marriage And Family Therapist 727-504-4126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2514) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-09-08 |