| NPI | 1144717638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MARGARET KRISTOFF President 407-793-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2993) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |