| NPI | 1275942211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN FRENCH Therapist 386-214-5143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2594) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2015-04-30 |