| NPI | 1215286463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAMILTON Owner/President 239-495-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1928) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2013-08-12 |