| NPI | 1184080129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRITA SANTANA Practice Administrator 305-857-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3111) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |