NPI | 1255788840 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE JENNY WHITTAKER Owner/Licensed Marriage&Family Therap 813-240-0855 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: FL Mt3108) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2019-06-11 |